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Isolated common iliac artery aneurysms: a revised classification to assist endovascular repair.

TitleIsolated common iliac artery aneurysms: a revised classification to assist endovascular repair.
Publication TypeJournal Article
Year of Publication2011
AuthorsMelas, N., Saratzis A., Dixon H., Saratzis N., Lazaridis J., Perdikides T., & Kiskinis D.
JournalJ Endovasc Ther
Volume18
Issue5
Pagination697-715
Date Published2011 Oct
ISSN1545-1550
KeywordsBlood Vessel Prosthesis Implantation, Decision Support Techniques, Endovascular Procedures, Humans, Iliac Aneurysm, Patient Selection, Risk Assessment, Risk Factors, Terminology as Topic
Abstract

Isolated common iliac artery aneurysms (CIAAs) are relatively rare; they typically progress asymptomatically and are revealed incidentally, usually after they have acquired significant dimensions. Traditional open reconstruction is associated with high morbidity and mortality rates. Rupture is a common initial manifestation. Endovascular repair has been proposed as a minimally invasive alternative, associated with lower morbidity and mortality rates, even in patients at high surgical risk; some specialists have recently proposed endoluminal repair as the first-choice procedure in suitable anatomies. However, only a few sporadic attempts have been made to define the "suitable" anatomy for endovascular repair. This article proposes a classification of isolated CIAAs and provides endovascular specialists with a guide to deciding which type of repair is feasible and efficacious according to the anatomical configuration of the aneurysm.

DOI10.1583/11-3519.1
Alternate JournalJ. Endovasc. Ther.
PubMed ID21992642

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